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1992206031
JACKIE IM
LAS VEGAS, NV
NPI
1992206031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-02-23
Last Update Date
2018-06-16
Business Address
JACKIE IM
4350 ARVILLE ST STE 40
LAS VEGAS, NV 89103-3811
Phone number: 702-202-3184
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Mailing Address
JACKIE IM
2701 CLARK TOWERS CT APT 143
LAS VEGAS, NV 89102-5801
Phone number: 702-610-6358
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